新生儿重症监护室护士对婴儿猝死综合征婴儿睡姿的评价

A. A.S., Abd-Elmonem H.H., Ismail S.S.
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摘要

背景:婴儿猝死综合征(SIDS)是指婴儿在睡眠中突然无法解释的死亡。它是新生儿后期死亡的最常见原因。目的:本研究旨在评估新生儿重症监护病房(NICUs)护士对婴儿猝死综合征的睡眠姿势的表现。设计:采用描述性研究设计进行本研究。环境:本研究在卫生部附属的Helwan总医院和法尤姆大学附属的Mustafa Hassan儿科医院的新生儿重症监护病房进行。样本:在上述环境中为新生儿重症监护病房的早产儿和低出生体重婴儿提供护理的70名护士的便利样本。工具:使用两种工具进行数据收集;第一个工具:一份结构化访谈问卷,包括两部分:第一部分评估被研究样本的特征,第一部分评估护士对小岛屿发展中国家婴儿睡眠姿势的了解,第二部分:观察性检查表评估护士对小岛屿发展中国家婴儿睡眠姿势的做法。结果:受访护士的平均年龄为25.47±4.26岁,平均胎龄为32.43±2.71周,55.7%的受访护士对SIDS患儿的睡眠体位知识不了解。同时,研究证明,58.6%的护士对新生儿重症监护病房的婴儿睡眠姿势的实践水平不高。结论:半数以上的护士对SIDS患儿睡姿的总体知识水平不满意,半数以上的护士对SIDS患儿睡姿的实践不熟练。护士对新生儿重症监护病房婴儿睡姿的总知识水平与其学历特征(P =0.033)、曾参加过新生儿重症监护病房婴儿睡姿教育课程(P =0.005)差异有统计学意义,护士总实践水平与其在新生儿重症监护病房工作年限差异有高度统计学意义(P<0.001)。建议:对护士进行持续的培训,以提高他们对婴儿猝死综合征的睡眠姿势的表现。
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Assessment of Nurses' Performance Regarding Infant Sleep Position on Sudden Infant Death Syndrome at Neonatal Intensive Care Units
Background: Sudden infant death syndrome (SIDS) is the sudden unexplained death of an infant during sleep. It is the most common cause of post neonatal mortality. Aim: This study aimed to assess nurses' performance regarding infant sleep position on sudden infant death syndrome at Neonatal Intensive Care Units (NICUs). Design: A descriptive research design was used to conduct this study. Settings: This study was carried out at NICUs in Helwan General Hospital affiliated to Ministry of health and Mustafa Hassan Pediatric Hospital affiliated to Fayoum University Hospitals. Sample: A convenience sample of seventy nurses who providing care for preterm and low birth weight infants admitted to NICUs in the previous mentioned settings. Tools: Two tools were used for data collection; 1st tool: A structured interview questionnaire sheet consists of two parts: Part (1) to assess characteristics of studied sample, Part (2) to assess nurses' knowledge regarding infant sleep position on SIDS, 2nd tool: Observational checklist to assess nurses' practice regarding infant sleep position on SIDS. Results: The mean age of studied nurses was 25.47±4.26 years and the mean gestational age of infants was 32.43±2.71 weeks, 55.7% of the studied nurses had unsatisfactory level of knowledge regarding infant sleep position on SIDS. Also, the study proved that, 58.6% of studied nurses had incompetent level of practice regarding infant sleep positions at NICUs. Conclusion: It can be concluded that, more than half of the studied nurses had unsatisfactory total level of knowledge regarding infant sleep position on SIDS and more than half of them had incompetent practice. Additionally, there were statistically significant differences between nurses’ total level of knowledge and their characteristics namely educational qualifications (P =0.033) and attendance of previous educational courses about the infant sleeping position at the NICUs (P =0.005), while there were highly statistically significant differences between nurses’ total level of practice and their years of experience at NICUs (P<0.001).Recommendations: Continuous training program for nurses to improve their performance regarding infant sleep position on sudden infant death syndrome.
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